Laserfiche WebLink
CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE <br />C< ut�e�L... . t.caf. YSv. Y.`e . .v,�¢. <.ti c N:1` u�•� '•.cfrc�2 �•.e�f.�¢ �`.. S2CvevLCa f . �a<. fd7 .c�LfiStaCc�L.af <br />❑ See Attached Document (Notary to cross out lines 14 below) <br />O See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) <br />1 <br />2- - - - - - -- -- - <br />--- -- ----- - - - -- - <br />3 <br />d <br />5- - - - - -- <br />Signature of Document Signer No. I Signature of Document Signer No. 2 (if any) <br />. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the <br />document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />County of 5 <br />ERICK SANCNE DE LA PUENTE <br />COmmiselon M 2062504 <br />Notny Public • CUlfomia <br />Los Angeles County <br />COMM. Evt Tres Mar 20, 2010 r <br />Sea/ <br />Place Notary Seal Above <br />Subscribed and swom to (or affirmed) before me <br />on this 22 day of _SeIp4p�� ! <br />20_, <br />by Date Month Year <br />(1) Co, t"!c� Levkk&o <br />(and (2) -- ), <br />Namefrvj of SignerK <br />proved to me on the basis of satisfactory evidence <br />to be the pers who appeared before me. <br />OPTIONAL <br />Though this section is optional, completing this information can deter alteration of the document or <br />fraudulent reattachment of this form to an unintended document. <br />Description of Attached Document <br />Title or Type of Document: l�. 6A, (rrQS;d✓e )�t�•�+rt0.vni" Document Date: %A�17 ®6 <br />Number of Pages:, I —Signer (s) Other Than Named Above: 4% .f i-r° <br />02014 National Notary Association • www.NationalNotary.org • 1- 800 -US NOTARY (1- 800 - 876 -6827) Item #5910 <br />25H -119 <br />